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Child health and developmental inequities: Evidence for precision policy. The project aims to use cutting edge analytic approaches applied to existing data to identify how policy interventions related to parents’ mental health, preschool programs, and the built environment can be optimised to reduce inequities in children’s mental, academic, and physical health outcomes. The project will be informed by our partners and advisers from across government portfolios and service delivery, ensuring tha ....Child health and developmental inequities: Evidence for precision policy. The project aims to use cutting edge analytic approaches applied to existing data to identify how policy interventions related to parents’ mental health, preschool programs, and the built environment can be optimised to reduce inequities in children’s mental, academic, and physical health outcomes. The project will be informed by our partners and advisers from across government portfolios and service delivery, ensuring that the evidence generated has contemporary policy relevance. The project expects to identify clear and actionable policy pathways to reduce child inequities in Australia, which can benefit decision makers by helping them to direct limited public funds towards intervention opportunities that will have the greatest impact.Read moreRead less
Development of a comprehensive model and programmed intervention for emotion processing deficits in childhood-onset mental health problems. This research is in the National Research Priority, promoting and maintaining good health. Mental health problems cost Australia millions of dollars every year as well as creating immeasurable social adversity for individuals and families. The proposed research represents a significant step towards reducing these costs and improving the effectiveness of earl ....Development of a comprehensive model and programmed intervention for emotion processing deficits in childhood-onset mental health problems. This research is in the National Research Priority, promoting and maintaining good health. Mental health problems cost Australia millions of dollars every year as well as creating immeasurable social adversity for individuals and families. The proposed research represents a significant step towards reducing these costs and improving the effectiveness of early intervention and prevention. The research will lead to improvements in methods for early detection of child psychopathology with potential for implementation in both community health and educational services nation-wide. The research partnership will build Australia's capacity for innovative research in the development, early intervention and treatment of mental health problems.Read moreRead less
A study of contemporary family, social and cultural influences on first-time mothers' decisions about infant feeding and early parenting practices. Children who are never breastfed are more likely to experience respiratory infections, gastroenteritis, diabetes and as adults, high blood pressure, obesity and type-2 diabetes. This study of infant feeding decision-making in first-time mothers will inform strategies, grounded in the daily lives of women and families to assist mothers to breastfeed f ....A study of contemporary family, social and cultural influences on first-time mothers' decisions about infant feeding and early parenting practices. Children who are never breastfed are more likely to experience respiratory infections, gastroenteritis, diabetes and as adults, high blood pressure, obesity and type-2 diabetes. This study of infant feeding decision-making in first-time mothers will inform strategies, grounded in the daily lives of women and families to assist mothers to breastfeed for longer particularly in communities where breastfeeding is not the norm. Increased support for breastfeeding women from family, community and health professionals is likely to reduce the distress reported by many new mothers. Strategic application of findings will lead to health gains from increased breastfeeding and translate into significant cost savings for the Australian health system. Read moreRead less
Childhood obesity, physical activity and wellbeing: Discovering the influence of children's understandings and experiences of places, spaces and communities. The study aims to discover 3-13 yr old children's understandings, perceptions & experiences of physical activity & associated places & spaces. Childhood obesity is a modern 'epidemic' & governments agree that low physical activity levels contribute significantly. Epidemiological & clinical research has been undertaken, but we lack Australia ....Childhood obesity, physical activity and wellbeing: Discovering the influence of children's understandings and experiences of places, spaces and communities. The study aims to discover 3-13 yr old children's understandings, perceptions & experiences of physical activity & associated places & spaces. Childhood obesity is a modern 'epidemic' & governments agree that low physical activity levels contribute significantly. Epidemiological & clinical research has been undertaken, but we lack Australian studies that systematically listen to & understand the pivotal voices of children themselves. Failure to develop such theoretically sound, practice-based understandings may mean ineffective interventions that misunderstand children's worlds. This collaborative study unites highly experienced researchers, practitioners & policy makers who will actively involve children in creating & using new knowledge.Read moreRead less
Diagnosis of depressive disorder and risk for depression in adolescents using acoustic speech analysis. Depression is the most common mental health problem in young people in Australia. Early diagnosis can minimise the disturbance of typical functioning and development of social and academic skills. Current assessment techniques consume significant time in urgent clinical situations, where an immediate assessment of risk is required. An automatic diagnostic system will provide an important objec ....Diagnosis of depressive disorder and risk for depression in adolescents using acoustic speech analysis. Depression is the most common mental health problem in young people in Australia. Early diagnosis can minimise the disturbance of typical functioning and development of social and academic skills. Current assessment techniques consume significant time in urgent clinical situations, where an immediate assessment of risk is required. An automatic diagnostic system will provide an important objective indicator giving an immediate quantitative assessment of the mental state of a patient. The quantitative measure given by the diagnostic system proposed will give physicians and therapists an improved metric by which they can gauge the effectiveness of various treatments in reducing depression and suicidality. Read moreRead less
Preventing mental health problems in children: a population-based cluster controlled trial. The National Mental Health Survey (2000) found 1 in 7 children have externalising (aggression) and internalising (anxiety, depression) problems. Early mental health problems beget later problems with high costs to society, including clinical, remedial education and criminal justice services. Hence, early prevention is vital for national well-being and productivity. The few preventive early childhood progr ....Preventing mental health problems in children: a population-based cluster controlled trial. The National Mental Health Survey (2000) found 1 in 7 children have externalising (aggression) and internalising (anxiety, depression) problems. Early mental health problems beget later problems with high costs to society, including clinical, remedial education and criminal justice services. Hence, early prevention is vital for national well-being and productivity. The few preventive early childhood programs to date are limited in effectiveness and not truly population-based. The proposed parenting / family support trial aims to overcome these obstacles, by comparing and costing two approaches that can be implemented within whole communities. The trial will help clarify optimal primary care to prevent mental health problems early in life.Read moreRead less
Model of care: A family focussed approach to promote child protection. Childhood neglect and abuse is an issue for all Australians. Models of best practice for child protection services are essential to protect the well-being of these children. This project will draw upon information from consumers and workers to provide a framework for a sustainable model of best practice for child protection that is transferable to other settings. A further benefit of this study is that it will provide insight ....Model of care: A family focussed approach to promote child protection. Childhood neglect and abuse is an issue for all Australians. Models of best practice for child protection services are essential to protect the well-being of these children. This project will draw upon information from consumers and workers to provide a framework for a sustainable model of best practice for child protection that is transferable to other settings. A further benefit of this study is that it will provide insight into occupation health and safety issues associated with working in long term relationships with vulnerable families. Read moreRead less
The HPA-axis as a marker for disruptive behaviour disorder subtypes in toddlers. Emerging neurobiological models of antisocial behaviour emphasise the role of the hypothalamic-pituitary-adrenal (HPA) axis in the onset of disruptive behaviour disorders (DBDs). Given the broad consensus that antisocial trajectories originate in the toddler years, this project will use cortisol measures of HPA-axis activity to identify the mechanisms through which developmental factors interact with parenting and ....The HPA-axis as a marker for disruptive behaviour disorder subtypes in toddlers. Emerging neurobiological models of antisocial behaviour emphasise the role of the hypothalamic-pituitary-adrenal (HPA) axis in the onset of disruptive behaviour disorders (DBDs). Given the broad consensus that antisocial trajectories originate in the toddler years, this project will use cortisol measures of HPA-axis activity to identify the mechanisms through which developmental factors interact with parenting and family environment to shape persistent DBDs; this will be achieved by following toddlers with severe DBDs across a controlled trial of a parenting intervention.Read moreRead less
A Randomised Trial of Early Childhood Sustained Home Visiting in a Disadvantaged Community. Home visiting programs comprising intensive and sustained professional home visits over the entire first two years of life (SPHV) show promise as interventions to promote child health and family functioning, and ameliorate disadvantage. This study is the first Australian randomised trial to determine the impact of a comprehensive SPHV program commencing antenatally in a population group living in an area ....A Randomised Trial of Early Childhood Sustained Home Visiting in a Disadvantaged Community. Home visiting programs comprising intensive and sustained professional home visits over the entire first two years of life (SPHV) show promise as interventions to promote child health and family functioning, and ameliorate disadvantage. This study is the first Australian randomised trial to determine the impact of a comprehensive SPHV program commencing antenatally in a population group living in an area of known disadvantage. As such this trial is a best-practice demonstration model for professional home visiting in Australia, with significant implications for the development of early childhood policy and strategy throughout Australia.Read moreRead less
Cluster randomised control trial of an early childhood literacy intervention to improve literacy and language outcomes in preschool aged children. Reading failure disproportionately affects disadvantaged communities in Australia, with nearly 40% of poor children failing to read at the minimum reading benchmark in Grade three. Of more concern is the disturbing trend indicating that prior to first grade, socioeconomic status (SES) differences also exist in important antecedents of reading such as ....Cluster randomised control trial of an early childhood literacy intervention to improve literacy and language outcomes in preschool aged children. Reading failure disproportionately affects disadvantaged communities in Australia, with nearly 40% of poor children failing to read at the minimum reading benchmark in Grade three. Of more concern is the disturbing trend indicating that prior to first grade, socioeconomic status (SES) differences also exist in important antecedents of reading such as letter knowledge and phonological processing skills, yet there remains no universal program to promote early language and literacy practices in the primary care setting. We propose a cluster randomised controlled trial to evaluate the efficacy of a multi injection intervention to improve literacy outcomes of children in disadvantaged communities.Read moreRead less